Laparoscopic treatment of a recurrent colostomy prolapse
Epublication WebSurg.com, Jun 2009;09(06). URL: http://websurg.com/doi/vd01en2614
The creation of a colostomy is a frequent procedure in visceral surgery. Despite new operative techniques, the stoma formation remains an often necessary surgical procedure, which results in a dramatic change in the patients' life. Many complications, such as stoma necrosis, stoma retraction or stoma prolapse can occur. The objective of this video is to demonstrate the various ways in which a laparoscopic subperitoneal colostomy can be performed. This is the case of a female patient presenting a mental handicap and a chronic renal insufficiency with hemodialysis 3 times a week. She has had a definite colostomy for the treatment of anal incontinence, with complete sphincteric destruction. The colostomy was associated with recurrent episodes of prolapse. A laparoscopic approach is worth performing here in order to have a preperitoneal, subperitoneal tunnel between the right hypochondrium and the left subcostal area where the colostomy is located.